| NPI | 1851412811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPENCER A HALEY Vice President 615-320-1392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS7219) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS3032) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TN DS4607) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2008-05-19 |